Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11983 | Date 21/08/2024 |
| Token No | SM/24-25/18313 21/08/2024 | Serial | 027 |
| Patient Name | Mr. R.P. GUPTA | Contact No | 9007592822 |
| Address | 72/A PATUAPARA LANE | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||